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PRE 2010 DOCS0Cit3' oFridley, f FMinn. 0 BUILDING PERMIT N? 4466 Date:'-L.1._'r-S�--(1.__.___ Owner:Builder--------•------- -----......................... ... —................ - --......_ _.... Address.1...---•- - - . — Address...................................A 0 -------------------------------------------------------------- J/ LOCATION OF BUILDING No.•{1...... Street ..-�......._......1f................ _......... .. Part of Lot -... - _............._............. _ Lot /P ................ Block ............. ...._............................. . Addition or SSub-Division .....1� - � Corner Lot .................................... Inside Lot ............... Setback....J.�'r1......................... Sideyard /15 .......... -....4 ............... _....... Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: t 6Type_.. ....._..-- ---. Front ..--%. Depth ... _.. Height _ _...... Sq. Ft. �. VOCu. Ft.I..---._.._... Front .... ..` ....-. Depth .. .... Height .._ [� .... Sq. Ft. -,�30-A �. C`u. Ft. f Construction ....��!..-- Est. Co././�P._` . To be Completed ............ ............................ 9 U P !0 N THIS PERP/1:T D, -,El; LIOT AYTHORIZE VIOLAT- ION OF ANY P, 5j,, A (E LA ', D COVENANTS AND f3U:LDf"G Rc' i 11211 TICP'J . In consideration of the issuance to me of a permit to construc he building described above, I agree to do the proposed work in accordance with the description above set than�ihwnc ph ce wi a rovisions of ordinances of the city of Fridley. ........ _..... -._........._.._.._ ..__ ...._......_ .......__.._.._..._.... In consideration of the payment of a fee of $......, permit is hereby granted to......................................................... ._.._-._............................ ._............. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violatio f any of the provisions of said ordinances. _..._.. .. ... .._......._.f ..... -....._...._ ._ Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. M APPSWOon for Power Plants and Heciting. Cootg in , Ventilation Reftigenition and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII, 4-7470 GRAVITY WARM AIR: RATE TOTAL, Location Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herein Repairs & Alterations—up to $500.00 .................. 5.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances Repairs & Alterations each add. $500.00 ............... 2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application true ano correct. MECH. WARM AIR Fridley, Minn 19 Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 dw 6 each add. 60,000 BTU ........ 2.00 $ Owner Replacement of Furnace x.00 $ Kind of Building Repairs & Alterations—up to $500.00 ...:e ............ 5.00 $ ` Used as Repairs & Alterations each add. $500.00 ....... :...... 2.50 $®` To be completed about STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam...... 8.00 $ Estimated Cost, $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Old—New. Building Permit No. 15t�& Permit No. �S Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR Hot Water .................. 2.50 $ DESCRIPTION OF WORE OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL HEATING or PO PZANTS--Steam, Hot Water, Warm Air—No � Trade Name '7 = � r/ Size N�g Capacity 99- Sq. �,W Ftt.EDR BTU H.P. Total Coecieii Lo7/ Rind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) . az 2M 7-59x:- Qa. Application for Power Punts and Healing, Cooling, Ventilatim, Refrigerafion and Air Conditioning Systems and Devicesa PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, 4 Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ _ Replacement of Furnace .............................. .0.00 $ Repairs & Alterations—up to $500.00 ... ............ 5.00 $ Repairs & Alterations each add. $500.00 ....... :....... 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDA Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule 00 GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ Dept. of Bldgs. Phone SU. 4-74700(i f j� Location .����� City of Fridley: _ The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, inn y—Ir 1960 Owner �i? ! e aza('r-�'XS'_ Kind of Building t Used as To be completed about e '` Estimated Cost, $ 10017. 0 Old—New. Building Permit No. Permit No.T r DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No Trade N Size No Capacity Sq. Ft. E.D.R. BTU H.P. Total Connected Load Sind of Fuer BURNER — Trade Size No Capacity Sq. It. E.D.R BTU H.P. AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ �:� Signe �f By k� Ak ROUGH 42 TM 7-59 Business Phone No «- �b FINAL (REMARKS—OVER) City of Fridley; Minn. N° 7912 BUILDING PERMIT • Date: June 17, 1965 Owner: Sheldon Benjaminson Builder same (owner) Address 5811 4th .Sit. N.H' • Address LOCATION OF BUILDING NAO90 583 8t 4th St. NA. Part of Lot ,at 10 _ Block 5 Addition or Sub -Division Bennett Palmer Corner Lot Inside Lot Sewer Elevation To be Used as: Type of Construction Front Setback — Sideyard Foundation Elevation DESCRIPTION OF BUILDING Depth Height Sq. Ft. Front Depth Height Sq. Ft. Fust. cost _.5#000 _ To be Completed • Repair storm damage • cu.. Ft. Cu. Ft. In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with Z provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 10:00 , permit is hereby granted to Sheldon B2njaminson to construct the building or addition as described above. This permit is granted upon the express oandition that the person to whom it is granted and his agents, employees and workmen, in all work done around and upon said building, or any pari thereof, shall conform is all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. A71en Jensen Building Inspector NOTICE: "k perm@ den amt causer the condruedon, huhUatlon for robing, phmbtug, gn busing, ewer or water. Be sun to on the BWMW lwpu r for separate peeadta for these hexa. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME��✓i'� ADDRESS_ '_ --2 y� �� �i! /� ADDRESS LOCATION OF BUILDING No. Street Part of Lot LOT d BLOCK ADDITION OR SUBDIVISION Corner Lot Inside LOT Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height, Sq. Ft. Cu. Ft. Front Depth T_Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cos `%"" D To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct.. DATE - # SIGNATURE (Schedu a of Fee Costs can be found on the Reverse Side). UI r Uf I-Rll)Lki INSPECTION DIViSION 6431 University Ave NE Fridley; MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, CM3 -572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) , Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 0 $ 10.00 $ $ 10.00 $ $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. 1 6 9 66S -7 -) Effective On January 1, 2001 BUILDING USED AS ESTIMATED COST PERMIT f PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One' (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work, in strict accordance with the City Codes an .50 rulings of the Building Division,and hereby declares that all the facts and $ representations stated in this application are true f nd correct. DATE HEATING COLS Signed\ --'l A TEL # Approved By Rough -In Date Final Date BACK SIDE MUSTWE, FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION COMMON VENTVENTCONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( ) No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( ) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance Type and Sizb/Common Vent and Vent Connector Information Appliance #1 Typ QBTU Input`30� Fan Assisted or Nat Appliance #2 Type mCAN BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING Signed By, CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 } PLUMBING FIXTURE RATES: Urinal 1a31o3 - X APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Wash Dank Floor Catch..;' Auto, Shower Smk Tray Fount Drain Basin Washer NO. MTE TOTAL NewFixtures $ 7.00 .Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader _ $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Gas'Ran ge** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 Effective On January 1, 1999 Gas M�sC.:.i? Water Heater Range I'Fikt'* ,: ;> Gas Elec Q OB ADDRESS ®I I N p®S i, e undersigned hereby makes application for a perm it for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Building Used As Estimated Cost PERMIT NO. PLUMBING COMPANY_ AACGIIIRE 8 SONG r . 605 12ti: Avetlut South a SIGNED BY �OpklnS; eVIN 5.� NN ., -931 9 Approved By. Rough—In Date Final Date j� MINIMUM FEE FOR ANY PLUMBING/ 50 PLUS THE $.50 STATE SURCHARGE "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VFNT,V NT CONN CTOR ANn COMR11STION AIR V RIFI CATION When replacing an existing.furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (i No ( ) The venting system is plasbc/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (i No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () 'No ( ) The Axis ing cnmhustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to instill a new comhustinn air,,it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a n _w v _nting -rzyc_tem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter _in-. Type HEATING CO: Signed By: Date : " L&L.L% L6 B V 1L11LV U Permit N a Inspections RESIDENTUL APPLICATION Rweived 13y: 763-572-3604 CIT' -Y' OF FRYDLE�' n A 763-502-4977 FAX I ,�,�,O,�,,,mro , , �„ 9 DATE—Q - of 6 SITE ADDRESS THIS APPLICANT IS: TENAN"K' YOUR E-MAIL r ❑ OWNER *ONTRACT'OR ADDRESS: ✓v k C11Y STATE ZIP PHONE:— y .OGS SUBMIT A COPY OF 'YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE STATE LiC6NSE f! ADDRESS: 10"7 ��l / q r51 PHONE 76 3 - I S� PROPERTY TYPE tSINGLE FAMILY ❑ TWO FAMILY/NEW CONSTRUCTION PERMIT ME O ADDMON O GARAGEIS O BASEMENT FjNISH q ROOF ❑ DWK 0 SIDING C! SWIMM1N( T'1C1PE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ❑ MA1NTENANCE/REPAIR `n DESCRIBE WORK BEING DONE: D i)E d SIZE OF IMPROVEMENT LENGTH 17 HOUSE ONLY NUMBER Of SQUARES i7 HOUSE & GARAGE [3 ATTACHED GARAGE PRO SIZE: ❑ DETACHED GARAGE PROPOSED HEIGHT: S AVG ❑ Virryl usoft"tt ❑ Aluminum ❑ Trim ❑ Other 4 Fascia E7CP DATE SUN TY FAX SIZE, STORIES HEDDOwS ❑ DRAW TILE ❑ OTHER iPOOL ADDITION MODELING Lyd0,4;s WIDTH TmprC.0 r VnNDOWS IN EXISTING OPENINGS We$ UNo LOCATION Of 'WINDOWS OR FOR NEW OPIrNINGS-DESCRIBE SIZE OF OPENINGr CHANGES & 4, TYPE OF WINDOW TO BP INSTAL ED�ENUNBEROFWFNDOWS ! ALL FEES ARE BASER ON vALuATroN, INCLUDING THE COST OF US�TG THE 1997 K1'AC FEE SCHEDULE) TOTAL .IO1$ VALUATION $ CJ OCCUP, Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Club Cut Escrow Erosion Control Park Fee Sewer Main Charge TES' BASEMENT RMdQpff &G SUBMIT: i. Existing Floor Plan 2. Proposed floor plan 3. List of sauctwral members to be used FOR NEW CONSTRUCTION INCLUDING DLCKS, AD=QN& & PORCHES SUBMIT: I . Site PlanlSurvey showing the existing Muctures and proposed project 2. Two sets ofoonstruction plans 1 Energy Calculations AND MA See Rack Page for Fee Schedule 65% of Building Permit Pee .001 times the total job Valuation .0005 x Permit Valuation Minimum} $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (plans to MWCC for determination) ft+6ft= iixS21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Matte cheats payable to: City of >FridleV Attac THIS 19 AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and aomnte; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application a work is not to start without a permit on site; that the work will be in accordance with the approved plan in the Case ofal o hi uires review and approval of plan& SIGNATURE OF APPLICANT PRINT NAME 62 DATE Wb 99:6Z:6 600Z/tiZ/£ :91,80 b2 :86ed 9069 9 6£ £9L :wa4